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Bleeding disorder Health Feed

Postmenopausal Bleeding - Is It Considered As Normal?

Postmenopausal Bleeding - Is It Considered As Normal?

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women-s gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB as it is popularly called can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

- Atrophic vaginitis - Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
- Endometrial atrophy - Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
- Polyps - Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding
- Infections - General infection of any area along the uterine tract could lead to occasional bleeding
- Cancers - Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis:

As repeated above, reach out to your doctor if you notice postmenopausal bleeding.  Diagnostic methods could include the following:

- Physical exam
- Transvaginal ultrasound
- Endometrial biopsy
Hysteroscopy
Dilatation and Curettage

Treatment:

Needless to say, this would depend on the diagnosis.

- For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy.

- For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient.

- Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

- Cancer - this would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases.\

So, if you have had bleeding of any sort after ayear of menopause, do not ignore it.  

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Menorrhagia - Everything About It!

Menorrhagia - Everything About It!

Menorrhagia is menstrual condition characterized by an abnormal loss of blood or heavy, prolonged bleeding. Although heavy bleeding is not uncommon in premenopausal women, menorrhagia is a severe condition which generally interferes with your daily activities. If your vagina bleeds irregularly or between periods, in addition to such heavy bleeding that at least one pad or tampon gets soaked every few hours, it is highly recommended that you seek medical attention.

Symptoms:

Signs and symptoms of menorrhagia include:

  1. Soaking through more than one tampon or sanitary pad for every few hours
  2. The need to use double sanitary protection
  3. Heavy bleeding for weeks on end
  4. The need to wake up at night to change your sanitary protection
  5. Restriction of daily activities due to heavy menstrual flow
  6. Symptoms of fatigue, such as excessive tiredness as well as shortness of breath

Causes:

Although the exact causes are unknown, here are a few causes that may be responsible:

  1. Hormonal imbalance is when there is an hormone imbalance, the endometrium develops in excess and sheds away with menstruation
  2. In Ovary dysfunction, if your ovaries do not ovulate, your body won't be able to produce the hormone progesterone resulting in a hormonal imbalance problem which may lead to menorrhagia
  3. Uterine fibroids are benign tumors which start appearing in your childbearing years
  4. Polyps are small benign growths found on the uterine lining
  5. Adenomyosis occurs when your glands from the endometrium becomes embedded in the uterine muscle
  6. By using Intrauterine device (IUD) menorrhagia may occur as a side-effect
  7. Pregnancy complications, for instance, an ectopic pregnancy can cause it
  8. Inherited bleeding disorders, such as von Willebrand disease
  9. Certain medications like anti-inflammatory drugs
  10. Other medical conditions, like pelvic inflammatory disease or endometriosis

Treatment:

Treatment for menorrhagia depends on a number of factors like the cause and severity of the condition, or your tolerance for specific therapies or medications.

Some drug therapies for menorrhagia include:

  1. Iron supplements
  2. Tranexamic acid
  3. Oral progesterone
  4. Non steroidal anti-inflammatory drugs
  5. Oral contraceptives
  6. Hormonal IUD

If drug therapy is ineffective, other treatment options may include:

  1. Dilation and curettage
  2. Focused ultrasound ablation
  3. Uterine artery embolization
  4. Endometrial ablation
  5. Myomectomy
  6. Endometrial resection
  7. Hysterectomy
5062 people found this helpful

Abnormal Vaginal Bleeding - Causes Behind It!

Abnormal Vaginal Bleeding - Causes Behind It!
Heavy menstrual periods and abnormal vaginal bleeding may be caused by uterine fibroids. True or false? Take this quiz to know more.
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I face some blood coming out during my urination in the morning. I had intercourse with my husband 3 days ago and that was our first experience of sex.

I face some blood coming out during my urination in the morning.
I had intercourse with my husband 3 days ago and tha...
When was your last period. If you intercourse within 2-3 days after periods, then its normal. Consult online with details.
1 person found this helpful
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I was on depo for about 1.5 years and have been off it now for about 3 months im taking no other contraception. I have had 2 occasions of very light bleeding which only last 2 days both occasions were 23 days apart. I was curious as to when my periods will return back to a normal flow and if there is a chance I am still fertile even with only light bleeding?

I was on depo for about 1.5 years and have been off it now for about 3 months im taking no other contraception. I hav...
You need to go under some tests to find out about your fertility and menstrual cycle even with light bleeding. Without reports it is not possible to suggest you anything. You can consult me through Lybrate for homoeopathic treatment and further guidance about reports.
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I had laparotomy in december but I travelled 60 km now i'm having bleeding is it worry about or not.

I had laparotomy in december but I travelled 60 km now i'm having bleeding is it worry about or not.
Apply ice pack to stop bleeding. Raktastambhak vati (dhootpapeshwar) 2 tb twice a day empty stomach.
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Postmenopausal Bleeding - Is It Normal?

Postmenopausal Bleeding - Is It Normal?

Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women's gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB, as it is popularly called, can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

  • Atrophic vaginitis: Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
  • Endometrial atrophy: Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
  • Polyps: Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding.
  • Infections: General infection of any area along the uterine tract could lead to occasional bleeding.
  • Cancers: Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding. Diagnostic methods could include the following:

  1. Physical examination
  2. Transvaginal ultrasound
  3. Endometrial biopsy
  4. Hysteroscopy
  5. Dilatation and Curettage

Treatment: Needless to say, this would depend on the diagnosis. For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy. For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient. Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

Cancer: This would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases. So, if you have had bleeding of any sort after a year of menopause, do not ignore it.

3966 people found this helpful

After masturbation next morning I saw blood clot from my vagina and feel pain under my lower belly. During that night I feel so pain in my head. It happened two more time after masturbation.

Women with large fibroids may feel heaviness or pressure in their lower abdomen or pelvis. Often this is described as a vague discomfort rather than a sharp pain.
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Wife is bleeding after 1st sex from last two days when she uses toilet or walk around.

Wife is bleeding after 1st sex from last two days when she uses toilet or walk around.
Hello , This is likely due to hymenal rupture after first intercourse and shall subside in 3-5 days , just keep the local area clean and wash regularly .
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